Presentation on theme: "Implementation of the APRN Consensus Model: National Update"— Presentation transcript:
1 Implementation of the APRN Consensus Model: National Update NCSBN APRN SummitJanuary 12, 2011Joan Stanley, PhD, CRNP, FAANSenior Director of Education PolicyAmerican Association of Colleges of Nursing
2 Goals:Provide an overview of the purpose, development and structure of LACE electronic networkIdentify major activities undertaken by education, certification and accreditation organizations to implement Consensus ModelDiscuss some of the issues/questions that have arisen
3 Implementation of APRN Consensus Model Since the completion of the Consensus Model for APRN Regulation: Licensure, Accreditation, Certification & Education (July 2008)47 national nursing organizations have endorsed the Model including all major APRN organizations;APRN Work Group & Joint Dialogue groups (LACE organizations) have continued to meet approx. every 4-6 months to:keep communication open,Identify issues and questions that have arisenDiscuss activities undertaken by one entity that impact othersDevelop a strategic plan and process for development of LACE
4 LACEElectronic network to support and facilitate implementation of Consensus ModelLACE not a formal, separate organizationBased on social networking principlesPurpose:Ensure transparent and ongoing communication among LACE entitiesProvide a platform for the ongoing work
5 Development of LACE Work group selected RFP sent out Vendor (iCohere) selected after proposal review, interviews, virtual demonstrationsRecommendations for selection, budget, administration of network approved by participating organizations.AACN asked and agreed to serve as contracting agent.
6 Development of LACE 13 month contract signed with vendor July 2010 To date, 21 organizations have signed the MOU and paid one-year fee ($2K) to support LACE (3 additional in process)Each organization will have 3 “seats” in platformAdministrators group (5) have almost completed five training sessions which includes designing the function, format or structure of network site.
7 LACE Administrators Group Licensure – MaryAnn Alexander, NCSBNAccreditation – Frank Gerbasi, COACertification – Janet Wyatt, PNCBEducation – Kelly Goudreau, NACNSPractice – Michelle Beauchesne, NAPNAPContracting Agent – Joan Stanley, AACN
8 LACE Structure Public site Protected work site (3 seats/organizations Posting updated information, documentsProtected work site (3 seats/organizations8 Work groups : LACE components and four rolesPosting documents to be shared and worked onOngoing dialogue on posted questionsScheduling virtual meetingsCalendar
9 Projected Timeline for Implementation of Model Implementation has begun by all LACE entitiesProjected Timeline: if the Target is 2015APRN education programs should be transitioned by 2012Accreditation processes should be in place byCertification examinations should be transitioned by 2013
10 Overview of LACE Implementation Activities to Date Primary focus has been on dissemination of informationClarification of intent of Consensus ModelIdentifying implications for all stakeholdersAddressing unintended consequencesFAQs (
11 Consensus Model for APRN Regulation: Licensure, Accreditation, Certification & Education (July 2008)
12 Implications for: APRN Education Programs Targeted timeline for education programs to transition is 2012Ensure attainment of graduate, APRN, role and population competenciesPrepare grads for national certification/licensureAll new APRN programs/tracks must be pre-approved prior to admitting studentsAll post-graduate certificate APRN programs will need to be accredited
13 Building a Curriculum Competencies Professional Certification Professional Organizations(e.g. oncology, palliativecare, nephrology)SpecialtyPopulationfociNP, CRNA, CNM CNSCore competencies inPopulation contextRegulationRole3 Ps (Advanced Pathophys, Pharmacology,Health Assessment)APRNMaster’s or DNP EssentialsGraduate Core
14 Implementation: Education Population Focus: Adult-GerontologyWith funding from JAHF, AACN has led national process in collaboration with NONPF and NACNS to develop national consensus-based competencies for:Adult-Gerontology Primary Care NPAdult-Gerontology CNSAdult-Gerontology Acute Care NP (almost completed)
15 Implementation (cont.) Model states that all APRNs providing care to adult population, e.g. family or gender specific, must be prepared to meet growing needs of older adult populationTo support this transition and enhancement of APRN curricula and certificationRecommended competencies/enhancements developed & disseminated for NP and CNSs who are not adult-gerontology but care for older adults.
16 Implementation: Incorporation of Wellness in All APRN Curricula “All APRNs are educationally prepared to provide scope of services across health wellness-illness continuum… however emphasis and implementation within each role varies.”Requires review and enhancement of national core competencies for roles and population fociEvaluation of curriculaEnhancement of certification examinations
17 Other Education Implementation Activities NPNONPF Reviewed Core NP role competencies, plan to review population-focused competencies (except adult and gero) in 2011NONPF & AACN 2011 re-convening National TF to review NTFC establish criteria for review of NP programsCNSNational consensus-based Core CNS Competencies finalized; posted on NACNS websiteNACNS leading national process to establish criteria for CNS programs
18 Implications for: Accrediting Bodies Will pre-approve all new APRN programsWill accredit all post-graduate certificate programs.Will ensure that programs are designed to prepare graduates for national certification/licensureWill ensure that education programs include 3P’s, nationally recognized role and population competencies
19 Implementation: Accreditation Both NLNAC and CCNE have endorsed the Consensus Model and therefore will implement preapproval of new programs and accredit post-graduate certificate programsCCNE has an APRN committee in place that will make recommendations re processes and standards to implement these two processes; target for implementation 2013CCNE has required 3P’s and reviewed programs based on this since 2005
20 Implications for Certification Assess APRN core, role, and population-focused competenciesEnforce congruence (role and population) between education and certificationProvide mechanism to ensure ongoing competenceParticipate in ongoing relationships to make processes transparent to boards of nursingParticipate in mutually agreeable mechanisms to ensure communication with boards and schools of nursing.
21 Implementation: Certification Evaluating current exams (e.g.wellness, care of older adult)Job analyses being implemented or plannedANCC, PCNB, AACN CC goal is to have new exams in place by 2013, e.g. Adult-Gero Primary Care NP, A-G Acute Care NP, A-G CNSIssue is how long they need to maintain current exams; at a minimum 2015Determining what new exams will be needed
22 Implementation: Psych/MH Population Focus APNA and ISPN formed joint TFCharged with making recommendations on how to align PMH-APRN with the Model and components of LACEHave concluded work and submitted recommendations to boards, presented to memberships, posted on website for feedback
23 Psych/MH APRN: Recommendations One entry educational focus: PMH NP with preparation across the lifespanThose currently licensed and certified PMH APRNs who maintain certification should be permitted to continue practiceRecommendations re. curriculum, clinical experiences, certification
24 Implementation: Specialty Organizations Educating stakeholdersEvaluating exams, eligibility criteriaIdentifying what new specialty exams neededImportant for entire LACE community to educate profession regarding importance of professional certification
25 LACE: Major Issues/Questions Related to Implementation Interpretation and Implementation of APRN Core (3P’s)Common versus population-focused courseDifferentiation of CNP Role into Acute and Primary Care CNP RolesAcute Care Pediatric CNPAcute Care Adult-Gerontology CNPPrimary Care Pediatric CNPPrimary Care Adult-Gerontology CNP
26 Implementation: APRN Core (3P’s) 3 P’s (separate graduate level courses)Advanced physiology/pathophysiology, including general principles that apply across the lifespan; (lifespan is defined as conception through old age including prenatal and death).Advanced health assessment, which includes all systems and advanced techniques.Advanced pharmacology, which includes …. all broad categories of agents- not solely for population
27 Licensure occurs at Levels of Role & Population Foci APRN REGULATORY MODELAPRN SPECIALTIESFocus of practice beyond role and population focuslinked to health care needsExamples include but are not limited to: Oncology, Older Adults, Orthopedics,Nephrology, Palliative CarePOPULATION FOCIFamily/IndividualAcross LifespanAdult-Gerontology*Women’s Health/Gender- RelatedPsychiatric-Mental Health**NeonatalPediatricsLicensure occurs at Levels of Role & Population FociAPRN ROLESNurseAnesthetistNurse-MidwifeClinical NurseSpecialistNurse Practitioner *
28 Acute & Primary Care NP“ The CNP is prepared with the acute care CNP competencies and/or the primary care CNP competencies. Currently this applies only to the pediatric and adult-gerontology CNP.” “Programs may prepare individuals across both the primary care or acute care; however, then individuals must be prepared with consensus based competencies for both roles and obtain certification in both.”